Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden

Patricia Ingrid Moreno, Amelie G. Ramirez, Sandra L. San Miguel-Majors, Leopoldo Castillo, Rina Sobel Fox, Kipling J. Gallion, Edgar Munoz, Christopher Ryne Estabrook, Arely Perez, Thomas Lad, Courtney M P Hollowell, Frank J. Penedo

Research output: Contribution to journalArticle

Abstract

Purpose: The aim of this study was to elucidate the prevalence of unmet supportive care needs in Hispanic/Latino cancer survivors and examine the association between unmet needs and patient-provider communication, satisfaction with cancer care, and cancer-specific symptom burden. Methods: Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer within 15 months of treatment completion (n = 288) completed questionnaires as part of an NCI-funded project. Results: Hispanic/Latino cancer survivors reported greater unmet needs compared to previously published norms in primarily non-Hispanic/Latino white samples. Across the three cancer types, the two most common unmet needs were in the psychological domain: fear of metastasis (32.6%) and concern for close others (31.3%). However, unmet needs varied by cancer type. Factors associated with greater unmet needs included more recent cancer diagnosis (OR.98 [.96–.99]), younger age (OR.96–.97 [.93–.99]), female gender (OR 2.53–3.75 [1.53–7.36]), and being single (OR 1.82 [1.11–2.97]). Breast cancer survivors reported greater unmet needs than both prostate and colorectal cancer survivors (OR 2.33–5.86 [1.27–14.01]). Adjusting for sociodemographic and medical covariates, unmet needs were associated with lower patient-provider communication self-efficacy (B = −.18–−.22, p’s <.01) and satisfaction with cancer care (B = − 3.57–− 3.81, p’s <.05), and greater breast (B = − 4.18–− 8.30, p’s <.01) and prostate (B = − 6.01–− 8.13, p’s <.01) cancer-specific symptom burden. Conclusions: Findings document unmet supportive care needs in Hispanic/Latino cancer survivors and suggest that reducing unmet needs in Hispanic/Latino cancer survivors may improve not only satisfaction with care, but also health-related quality of life.

Original languageEnglish (US)
Pages (from-to)1383-1394
Number of pages12
JournalSupportive Care in Cancer
Volume27
Issue number4
DOIs
StatePublished - Apr 1 2019

Fingerprint

Hispanic Americans
Survivors
Communication
Neoplasms
Colorectal Neoplasms
Prostatic Neoplasms
Breast Neoplasms
Self Efficacy
Fear
Prostate
Breast
Quality of Life
Psychology
Neoplasm Metastasis

Keywords

  • Hispanic
  • Latino
  • Patient-provider communication
  • Satisfaction with care
  • Supportive care
  • Survivorship
  • Unmet needs

ASJC Scopus subject areas

  • Oncology

Cite this

Moreno, Patricia Ingrid ; Ramirez, Amelie G. ; San Miguel-Majors, Sandra L. ; Castillo, Leopoldo ; Fox, Rina Sobel ; Gallion, Kipling J. ; Munoz, Edgar ; Estabrook, Christopher Ryne ; Perez, Arely ; Lad, Thomas ; Hollowell, Courtney M P ; Penedo, Frank J. / Unmet supportive care needs in Hispanic/Latino cancer survivors : prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden. In: Supportive Care in Cancer. 2019 ; Vol. 27, No. 4. pp. 1383-1394.
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abstract = "Purpose: The aim of this study was to elucidate the prevalence of unmet supportive care needs in Hispanic/Latino cancer survivors and examine the association between unmet needs and patient-provider communication, satisfaction with cancer care, and cancer-specific symptom burden. Methods: Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer within 15 months of treatment completion (n = 288) completed questionnaires as part of an NCI-funded project. Results: Hispanic/Latino cancer survivors reported greater unmet needs compared to previously published norms in primarily non-Hispanic/Latino white samples. Across the three cancer types, the two most common unmet needs were in the psychological domain: fear of metastasis (32.6{\%}) and concern for close others (31.3{\%}). However, unmet needs varied by cancer type. Factors associated with greater unmet needs included more recent cancer diagnosis (OR.98 [.96–.99]), younger age (OR.96–.97 [.93–.99]), female gender (OR 2.53–3.75 [1.53–7.36]), and being single (OR 1.82 [1.11–2.97]). Breast cancer survivors reported greater unmet needs than both prostate and colorectal cancer survivors (OR 2.33–5.86 [1.27–14.01]). Adjusting for sociodemographic and medical covariates, unmet needs were associated with lower patient-provider communication self-efficacy (B = −.18–−.22, p’s <.01) and satisfaction with cancer care (B = − 3.57–− 3.81, p’s <.05), and greater breast (B = − 4.18–− 8.30, p’s <.01) and prostate (B = − 6.01–− 8.13, p’s <.01) cancer-specific symptom burden. Conclusions: Findings document unmet supportive care needs in Hispanic/Latino cancer survivors and suggest that reducing unmet needs in Hispanic/Latino cancer survivors may improve not only satisfaction with care, but also health-related quality of life.",
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author = "Moreno, {Patricia Ingrid} and Ramirez, {Amelie G.} and {San Miguel-Majors}, {Sandra L.} and Leopoldo Castillo and Fox, {Rina Sobel} and Gallion, {Kipling J.} and Edgar Munoz and Estabrook, {Christopher Ryne} and Arely Perez and Thomas Lad and Hollowell, {Courtney M P} and Penedo, {Frank J.}",
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Unmet supportive care needs in Hispanic/Latino cancer survivors : prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden. / Moreno, Patricia Ingrid; Ramirez, Amelie G.; San Miguel-Majors, Sandra L.; Castillo, Leopoldo; Fox, Rina Sobel; Gallion, Kipling J.; Munoz, Edgar; Estabrook, Christopher Ryne; Perez, Arely; Lad, Thomas; Hollowell, Courtney M P; Penedo, Frank J.

In: Supportive Care in Cancer, Vol. 27, No. 4, 01.04.2019, p. 1383-1394.

Research output: Contribution to journalArticle

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T1 - Unmet supportive care needs in Hispanic/Latino cancer survivors

T2 - prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden

AU - Moreno, Patricia Ingrid

AU - Ramirez, Amelie G.

AU - San Miguel-Majors, Sandra L.

AU - Castillo, Leopoldo

AU - Fox, Rina Sobel

AU - Gallion, Kipling J.

AU - Munoz, Edgar

AU - Estabrook, Christopher Ryne

AU - Perez, Arely

AU - Lad, Thomas

AU - Hollowell, Courtney M P

AU - Penedo, Frank J.

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Purpose: The aim of this study was to elucidate the prevalence of unmet supportive care needs in Hispanic/Latino cancer survivors and examine the association between unmet needs and patient-provider communication, satisfaction with cancer care, and cancer-specific symptom burden. Methods: Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer within 15 months of treatment completion (n = 288) completed questionnaires as part of an NCI-funded project. Results: Hispanic/Latino cancer survivors reported greater unmet needs compared to previously published norms in primarily non-Hispanic/Latino white samples. Across the three cancer types, the two most common unmet needs were in the psychological domain: fear of metastasis (32.6%) and concern for close others (31.3%). However, unmet needs varied by cancer type. Factors associated with greater unmet needs included more recent cancer diagnosis (OR.98 [.96–.99]), younger age (OR.96–.97 [.93–.99]), female gender (OR 2.53–3.75 [1.53–7.36]), and being single (OR 1.82 [1.11–2.97]). Breast cancer survivors reported greater unmet needs than both prostate and colorectal cancer survivors (OR 2.33–5.86 [1.27–14.01]). Adjusting for sociodemographic and medical covariates, unmet needs were associated with lower patient-provider communication self-efficacy (B = −.18–−.22, p’s <.01) and satisfaction with cancer care (B = − 3.57–− 3.81, p’s <.05), and greater breast (B = − 4.18–− 8.30, p’s <.01) and prostate (B = − 6.01–− 8.13, p’s <.01) cancer-specific symptom burden. Conclusions: Findings document unmet supportive care needs in Hispanic/Latino cancer survivors and suggest that reducing unmet needs in Hispanic/Latino cancer survivors may improve not only satisfaction with care, but also health-related quality of life.

AB - Purpose: The aim of this study was to elucidate the prevalence of unmet supportive care needs in Hispanic/Latino cancer survivors and examine the association between unmet needs and patient-provider communication, satisfaction with cancer care, and cancer-specific symptom burden. Methods: Hispanics/Latinos diagnosed with breast, prostate, or colorectal cancer within 15 months of treatment completion (n = 288) completed questionnaires as part of an NCI-funded project. Results: Hispanic/Latino cancer survivors reported greater unmet needs compared to previously published norms in primarily non-Hispanic/Latino white samples. Across the three cancer types, the two most common unmet needs were in the psychological domain: fear of metastasis (32.6%) and concern for close others (31.3%). However, unmet needs varied by cancer type. Factors associated with greater unmet needs included more recent cancer diagnosis (OR.98 [.96–.99]), younger age (OR.96–.97 [.93–.99]), female gender (OR 2.53–3.75 [1.53–7.36]), and being single (OR 1.82 [1.11–2.97]). Breast cancer survivors reported greater unmet needs than both prostate and colorectal cancer survivors (OR 2.33–5.86 [1.27–14.01]). Adjusting for sociodemographic and medical covariates, unmet needs were associated with lower patient-provider communication self-efficacy (B = −.18–−.22, p’s <.01) and satisfaction with cancer care (B = − 3.57–− 3.81, p’s <.05), and greater breast (B = − 4.18–− 8.30, p’s <.01) and prostate (B = − 6.01–− 8.13, p’s <.01) cancer-specific symptom burden. Conclusions: Findings document unmet supportive care needs in Hispanic/Latino cancer survivors and suggest that reducing unmet needs in Hispanic/Latino cancer survivors may improve not only satisfaction with care, but also health-related quality of life.

KW - Hispanic

KW - Latino

KW - Patient-provider communication

KW - Satisfaction with care

KW - Supportive care

KW - Survivorship

KW - Unmet needs

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